Organization · Type 2 NPI

M A C T Health Board Incorporated

Federally Qualified Health Center (FQHC) · Sonora, CA

NPI number 1467444364 Active

Practice location

905 Morning Star Dr
Sonora, CA 95370-9249

Call (209) 533-9600 Map

Fax (209) 533-9608

Mailing address

PO Box 939
Angels Camp, CA 95222-0939

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Community Health Worker	172V00000X	None listed
Clinic/Center	261Q00000X	030000704 (CA)
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Primary Care Clinic/Center	261QP2300X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Jeanne Stiers, Crna, A Professional Nursing CorporationCertified Registered Nurse Anesthetist Sonora, CA NPI 1336187780
Sonora Surgery Center IncAmbulatory Surgical Clinic/Center Sonora, CA NPI 1144325838
Amanda Sturgis, RNFamily Medicine Physician Sonora, CA NPI 1821936220

Other federally qualified health center (fqhc) providers in Sonora

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NPI record

NPI: 1467444364
Entity type: Organization (Type 2)
Issued: Aug 17, 2005
Last updated: Jun 24, 2025
Status: Active
Subpart: Yes of M A C T Health Board Incorporated

Other names

<unavail>
Mact Medical Sonora · doing business as

Authorized official

John Alexander
Executive Director
(209) 754-6262

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467444364

M A C T Health Board Incorporated's National Provider Identifier is 1467444364, issued on Aug 17, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sonora, CA. The record was last updated on Jun 24, 2025.